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Organization

CASCO BAY DIRECT PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BEALL MD (PHYSICIAN/OWNER)
(207) 407-5027
Entity
Organization

Contact information

Practice address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
(207) 407-5027
Mailing address
80 OLD FIELD RD, YARMOUTH, ME 04096-7570
(207) 776-0816

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
07/07/2023
Last updated
07/07/2023
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